health reform: where are we now? june 15, 2011 grace-marie turner galen institute
TRANSCRIPT
HEALTH REFORM: Where Are We Now?
June 15, 2011
Grace-Marie TurnerGalen Institute
A growing list of concernsBurdens on business: Businesses have to know “household” income for employees. MLR/grandfathering regulations. “McDonald’s” waivers. Health costs rising. Benefit mandates coming. Employers planning to exit health insurance.
Resistance from states. Block indiv. mandate. Resist Medicaid expansion. Impede implementation.
Extraordinary complexity. Health exchanges. tax credits. Mountains of regs, without public comment.
Unintended consequences. Child-only policies vanishing. 80-100 million could lose coverage. 16,000 IRS agents. Costs soar. 40% of doctors plan to leave practice. SEIU drops dependents.
MLR battles
Livelihood of brokers seriously threatened
Little appreciation for value you bring
NAHU Goal: Eliminate commissions from MLR calculation
Beware: the “navigators”
People are confused
22% - Think the law has been repealed
26% - Are unsure
Just over half know ObamaCare still stands
14% - Believe they have benefited from the law
17% - Say the law has already harmed them
45% - Think it will make the economy worse
55% - Favor full repeal of ObamaCare
67% - Favor repealing the individual mandate
Source: “Kaiser Health Tracking Poll – February 2011,” The Henry J. Kaiser Family Foundation, February 24, 2011, www.kff.org/kaiserpolls/8156.cfm.
The battles will continue
Legislative: Defund, dismantle, delay
Regulatory: Strict oversight; CRA
Legal: U.S. Supreme Court (2012)
Political: 2012 primaries and elections
Top targets for changes to PPACA:
Eliminate 1099 requirement : DONE
Pass H.R. 1206 to preserve access to licensed independent insurance producers
Repeal IPAB
Significant changes to CLASS Act
Delay, defund, deregulate, dismantle the law…
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